There's a lot of shit stuff going on at the moment...
Here's some pictures of my best mate to try to make you smile for a minute
(His insta is billythelabradude if you need more)
#PositiveVibes
#GoodBoy
Patients and staff aren't the only peiple suffering from the current state of the NHS.
Student paramedics are becoming increasingly concerned about their poor and limited experience on placements due to the demand/hospital queues/ramping.
Here's my take on it, a short 🧵...
*warning - self hi-five post*
It's officially a thing!
1 SOP
3 PGDs
About 8 months of graft
It's not often I post about me - but I'm super proud to have written the ABD guidelines for my service!
#criticalcare
#prehospital
#paramedic
#serviceimprovement
Today I received an email advising that after the recent course, I have completed my instructor candidacy and have l acheived full ATACC Faculty
#Inspired
#Empowered
1/?
After an incredible, challenging, hyper-educational and frankly exhausting 3 days I am extraordinarily proud, and still in absolute shock, to say that I have passed the ATACC course and been invited back as an
@ATACCFaculty
Instructor Candidate
#ATACC
#paramedic
#thankyou
My first
#ATACC
course completed as an Instructor Candidate.
What an incredible environment in which to teach (and learn!)
They are an incredible group full of rockstars from every aspect of medicine
Thanks for having me
@ATACCFaculty
i can't wait for the next course
#Empowered
#StudentParamedics
going on their first placement are both excited and nervous. Preparing for your shifts is daunting, especially with so much out there about "what to take".
Thanks to inspiration from
@NatalieLeck1
here's my take on how to prepare for first shifts
What a great weekend!
Taught alongside some of the best clinicians in the world on some of the most high fidelity simulation available!
Always come away feeling
#Empowered
and
#Inspired
by the faculty and candidates alike
#ATACC
#RoadsideToCriticalCare
What a weekend!
ATACC Sept has come to a close and what a weekend it's been.
It's such a privilege getting to teach with and learn from some of the most inspirational and dedicated clinicians in the world!
A small thread of pics
Everything we do is practice for something greater than where we currently are. Practice only makes for improvement – Les Brown
Working with
@WYFRS
at a simulated RTC designed to practice and improve our interagency working.
#Paramedic
#CriticalCare
#Interoperability
#TeamYAS
I'm feeling incredibly grateful to all of my friends, family, colleagues and others who have helped me on the way to where I am now.
Good news is the best news!
You're all awesome!
#careerprogression
#paramedic
#criticalcare
Midwives of
#MedTwitter
How do i rebuild a relationship between an area in an ambulance service and a maternity/dept?
I've had a pretty average experience today and been told that's the norm here and I'm not cool with that
Any ideas anyone?
#paramedic
#notamidwife
#helpme
@DrRJWebb
Please have a chat to JRCALC and AACE
In-hospital paediatric pain management isn't great, prehospitally it's often non-existent, which is horrific and not good enough..
We need more options that don't require IV access, in both adult and paediatric management.
#Paramedic
Not normally a guy to social media a play-by-play
But faar out! ATACC day 2 has been incredible
Such a great atmosphere of clinicians all striving to learn provide the best care in the worst environments
Great learning
Heaps to reflect upon
#ATACC
#paramedic
#PHEM
#education
Just finished a fantastic 2-day course on Palliative and End of Life care with thanks to Bev from
@CHCPHull
Urgent Care and Critical Care Paramedics learning and working together to provide the best care for our patients across
#Yorkshire
#Paramedic
#EoLC
#GoodCourse
@Sheworegreen
@mhnparamedic
Lil thread
-Look after your crewmates and they'll look after you
-Even if its 2am and you think it's bullshit, treat patients how you'd want your family to be treated
-If in doubt, ask for help or call for advice
-Write down handovers/Pre-alerts before you need to say them
If you're struggling with a New Years resolution - here's some suggestions
-drink more water
-go on lots of walks to stay fit
-sleep lots
-love unconditionally
-make time for fun and treats
-if in doubt, shake it off
Okay fine, these are from Billy
#GoodBoysOfTwitter
Just finished my second nightshift of a run, slept like shit yesterday and feel knackered.
Get into bed and now im wide awake... what the hell is that about?!
#MedTwitter
#ParamedicLife
HEI's must take on (at least some) of the burden caused by this.
One way is to use high fidelity simulated training.
Live actors with moulage and a detailed brief
This doesn't have to cost a fortune... drama depts have access to all this.
Just ask
@ATACCGroup
- it works!
Day one of the ATACC course over! Let me tell ya, what a day!
It's only going to get more intense!
But for now, it's beer oclock
#atacc
#paramedic
#PHEM
#Empowerment
What does
#MedTwitter
think about prehospital sedation for acute behavioural disorder (ABD) or violent patients? Specifically which pharmacology you would/could/should use?
(obviously there are numerous steps before getting to this stage - i'm not talking about those)
@S__Yates
Another way HEIs can help is by increasing students exposure to real life situations.
Leeds med school set up a CFR scheme for their students.
- why don't more paramedic courses?!
Exposure to limited cases with some extra training (and helping the NHS at the same time)
@helloimnicholas
Thanks
@helloimnicholas
. It was a mountain of work but now its all done and most of the Critical Care team have been trained in its use!
YAS SPCCs are now able to provide a high level of care to these complex and critically unwell patients - so it's been worth all the work!
Another way HEIs can help is by increasing the use of case studies (and i dont mean more essays!)
Case-based discussion is a fantastic way to create simulated exposure to conditions for essentially no cost, and in the right setting with the right leaders - could be an asset
Being able to hang out and teach with and learn from the
@ATACCFaculty
has been incredible.
I always come away from
#ATACC
feeling inspired, motivated and a better clinician because of these people
2. Giving students a bit more space.
We're all guilty of sometimes stepping in too soon when students are having a crack at a case. Clearly necessary at times, but if time and circumstance allow - don't say/do anything until the student asks for it (or gives you the look!)
We are excited to launch the HART PLASMa project…
Pre-hospital Lyoplas Administration for patients Suffering MAjor Hemorrhage.
A UK first for HART paramedics delivering blood products in
#trauma
.
More to come over the next few months.
@swasFT
#UKHART
#BloodProducts
1. Case-based discussion - what would you/we have done on this job if X had been different or Y had happened? Why would we do that?
The other week i went to this job.... step-by-step it, allowing the student to ask questions gain an insight into the case and the management etc
8/ This was easily the best course I've ever been on. If you're thinking about it just do it! You'll learn heaps, make new friends, and be able to learn and develop skills in ways you never thought possible
Thank you
@ATACCFaculty
#ATACC
#PHEM
#EM
#roadsidetocriticalcare
@TheLeeMcLaren
100%!
Only thing i would add is before the handover - confirm if there are any immediate life threats that need managing immediately
If not - "No immediate concerns - let's transfer and then hand over"
Catches attention before you even begin and lets them know youre in control
Attended the West Midlands Emergency Surgical Skills course today and i couldn't recommend it more highly!
Great sessions and learning from hugely knowledgeable, experienced and credible clinicians.
#whataday
#greatcourse
#PHEM
#surgicalskills
#paramedic
5. Recognise the difficulty they're having (be kind)
Sure, work is hard at the moment. Its physically and emotionally draining - it's also really hard for the students that are literally paying to be there.
it wasn't like this when i was a student, it must be awful
3. Keep in contact
These are crappy times for us all, and sometimes talking about work is the last thing you wanna do - but if you go to an interesting job when student isnt there - tell them about it! Use it as a case-discussion/send them ECGs etc (Clearly w/ consent all round)
Firstly, mentoring
#BlackTeam
was an absolute pleasure.
A fantastic group of clinicians who gelled together well and tackled everything head on and gained praise from across the
@ATACCFaculty
4. Give them a break
This may seem counter-intuitive and I don't mean that students shouldnt attend- I mean a break from the monotony of standing in the corridor
Allow them the chance to sit in the cab at a prolonged queue, maybe to do some revision or just chill and decompress
Hey
#MedTwitter
, I'm a UK registered paramedic looking at getting into critical care. Can any ACCP's who wouldn't mind me asking some questions please shout out? Thanks in advance!
#ACCP
#ACP
#QandA
#CareerProgression
7/ i can honestly come away from this course and say it has made me a better clinician. I feel
#Empowered
to go out and perform better than I ever have.
It's incredible to be in a room of people dedicated to providing the best care for patients, from the roadside to critical care
@timricketts_
This is my second biggest pet peeve in the NHS.
"Ask the Band 3"
What. The. Fuck.
They have a clinical grade, and a name.
(1st biggest pet peeve is people who call a BGL a 'BM')
@hayleymagill
I have very little knowledge of what drives women to do things (obvs)
But i can say me, and all of the guys i know don't expect anything from a woman.
Her being happy about herself is what it's all about, whether she wants botox/fillers or not!
#LetHerDoHer
#WomanAreAwesome
@thebonesurge0n
I don't think thats entirely accurate.
As "another HCP on twitter" I've seen very minimal of that, and much more so of HCPs supporting doctors for better pay (myself included)
I have seen lots of physicians putting down other HCPs though..
Lets just all be kind and supportive
@wesstreeting
What evidence base are you using to make these accusations of "late diagnoses" and your ideas of putting "these services" (very vague) into primary care wojld "create better outcomes and better value for taxpayer"?
Importantly - I'm not saying every student paramedic should become a CFR or that they should have time to volunteer, but having it available as an option could really help those who do have time etc.
Firstly, the problem is huge and multifactorial.
Clearly, the NHS is broken and drastically (and rapidly) needs fixing.
The suggestion i make here are not for that, but for educators to better help students in these incredibly troubling and challenging times...
Clearly, there are more things than this to help - I'm just one guy.
I hope this has helped at least 1person or at least promotes some discussion
Students - if there is anything else you can think that would help - please say!
Mentors and HEIs - what do you folk think?
Debriefing is such an important part of learning and is at the heart of what we do at
#ATACC
. Providing candidates with an opportunity to reflect individually and as a group and highlight learnings points for them with constructive ways to improve performance
As a prehospitalist, paeds are something I rarely see, and something I am so keen to improve my knowledge base on.
I subscribe to
#bubbleup
newsletter to keep me in the know
@TessaRDavis
- thank you, ya bloody rockstar!
via
@revue
"Are my intentions honourable?"
A question all clinicians should repeatedly ask themselves
Thanks
#deltaseven
. You continue to inspire and create better clinicians and care
@NAHEIHCIR
Woaaah! Calm down!
Using logic and (relatively cheap) technology to save time, money and prevent human error?!
In the ambulance service?!
Dont be ridiculous!
6/ the lectures were given by specialists in their areas and used, referred to and referenced tonnes kf current and seminal evidence, with some critical appraisal.
I've never been to a course that utilised so much evidence in their lectures... ever.
Try to not join in on the mess room chat about how shit things are/patients are.
It's easy to feel you have to join in to fit in but no one bothers if you don't, and it will make you look good and keep your head in the positive when things aren't great if you don't
Paramedic mentors also have a responsibility to help (like it or not). Although on the road it is debilitating, there does need to be a bit of a consideration to the student in all this. Sitting on a corridor isn't conducive to a good NQP.
Here's a few things mentors can do...
I have spent the last 3 days with some of the most inspirational medics, who are dedicated to pushing their care to the limits of possible.
This group of people come from a wide array of backgrounds including anaesthesia, ICM, EM, fire/rescue, police and PHEM
First and foremost - wear your epaulettes with pride, introduce yourself to everyone as a first year student.
This will not only allow good CRM on big jobs, but also allow clinicians to push your forward into experience you may not get otherwise
#BlackTeam
absolutely smashed it in some very difficult environments, working together to provide meaningful interventions and push momentum forwards in difficult environments
@vardon91
I'm not a physician - never really wanted to be a physician because i thought that was for rich kids (which i am not)
I wholeheartedly agree physicians need a payrise.
But I don't think they are the only group in HC who need a payrise.
Ask questions - Believe me if you've thought it, no matter how stupid you think it is, it's been asked before. Probably by me!
Listen actively - don't just sit there and watch, actively listen and pay attention to the details.
5/ the level of the course means that you're constantly out of your comfort zone and actually able to step outside your scope with support from your teammates, which provides an additional layer of learning and educational points to bring into your practice
4/ the multidisciplinary faculty were absolutely incredible. My team mentor was so positive and caring. The faculty on every station were supportive and provided some really constructive feedback to help build you. Not to mention the incredibly high calibre of the faculty
@B_BanaszakMD
*healthcare staff
I don't think one can suggest a single specialism is the backbone of the healthcare system anymore...
Ambos, nurses, doctors, physios, OTs etc...
They are the backbone.
Not just a small subsection of a single profession.
#modernhealthcare
@LaurenB2909
Please submit a complaint. Things like this often go unmanaged and without intervention because people don't want to make a fuss.
This stuff matters.